Individual
MRS. ROBERTA SHIRLEY GRUNTORAD VONDRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC CADC
Contact information
Practice address
13300 S RTE 59, STE B4, PLAINFIELD, IL 60585
(815) 577-8970
(815) 577-8988
Mailing address
13300 S RTE 59, STE B4, PLAINFIELD, IL 60585
(815) 577-8970
(815) 577-8988
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20287
IL
101YP2500X
Professional Counselor
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932324
BCBS
IL
Enumeration date
08/24/2006
Last updated
09/11/2025
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